Top 1272 Claims manager Jobs in Remote

Sr. Manager Healthcare Claims
Personify Health —Remote
- $107,000 - $140,000 a year
- Email
- 5 years
- HIPAA
- Office
- Health insurance
- Dental insurance
Claims Manager - Risk Management
Live Nation —Remote
- $104,000 - $130,000 a year
- Full-time
- Microsoft Excel
- Management
- Analysis skills
- Health savings account
- Paid holidays
Claims Operations, Senior Manager Meritain TPA, Remote
CVS Health —Trenton, NJ
- $75,400 - $182,549 a year
- Full-time
- Remote
- 7 years
- Bachelor's degree
- Fair chance
- Health insurance
- Dental insurance
3d
Claims - Care Manager, RN, Claims
Wellcove —Remote
- Full-time
- Remote
- RN License
- Mid-level
- Geriatrics
Quick Apply
Workers Compensation Claims Manager
BrandSafway —Remote
- $105,000 - $125,000 a year
- Full-time
- Remote
- Analysis skills
- Senior level
- Communication skills
- Disability insurance
- Health insurance
Quick Apply
Casualty Senior Claims Manager — Casualty Specialized Claims
Liberty Mutual —Remote
- $179,000 - $322,000 a year
- Full-time
- Remote
- 5 years
- Office
- Analysis skills
Insurance Claims Manager
Whiteboard Risk & Insurance Solutions —Remote
- $55,000 - $65,000 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Basic math
- Health insurance
- Paid time off
Quick Apply
Revenue Cycle & Claims Operations Manager
Jukebox Health —Remote
- $115,000 - $140,000 a year
- Remote
- Management
- 3 years
- Analysis skills
- Health savings account
- Paid holidays
Quick Apply
CAT Claims Manager
Frontline Insurance Managers Inc. —Remote
- Full-time
- Remote
- 5 years
- Bachelor's degree
- Team management
- Disability insurance
- Health insurance
Quick Apply
Claims Supervisor
Avesis, Incorporated —Remote
- $50,780 - $99,240 a year
- Email
- Microsoft Excel
- Research
- Mid-level
- Paid parental leave
- Disability insurance
7d
Sr. Manager, Stop Loss Claims Operations
Personify Health —Remote
- $107,000 - $140,000 a year
- Email
- 5 years
- Office
- Finance
- Health insurance
- Dental insurance
Senior Manager of Claims - Security & Loss Prev
OnTrac —Remote
- $140,000 - $210,000 a year
- Remote
- 8 years
- Bachelor's degree
- Recruiting
- Paid parental leave
- Paid holidays
Quick Apply
2d
Claims Training Manager
Frontline Insurance Managers Inc. —Remote
- Extended hours
- Remote
- Customer service
- 11+ years
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
Regional Field Service Manager
A.O. Smith —Nashville, TN
- Full-time
- Remote
- 5 years
- Residential
- Team management
- Disability insurance
- Health insurance
Quick Apply
Guidewire Application Development Manager
Experis —Boston, MA
- Full-time
- Remote
- 7 years
- Senior level
- Leadership
Quick Apply
Manager, Customer Analytics & Insights
Jazz Pharmaceuticals —San Diego, CA
- $120,000 - $180,000 a year
- Remote
- SQL
- Bachelor's degree
- Continuous improvement
- Health insurance
- Dental insurance
2d
Manager, Customer Analytics & Insights
Jazz Pharmaceuticals —San Francisco, CA
- $120,000 - $180,000 a year
- Remote
- SQL
- Bachelor's degree
- Continuous improvement
- Health insurance
- Dental insurance
2d
Manager, Customer Analytics & Insights, EMD
Jazz Pharmaceuticals —Boston, MA
- $120,000 - $180,000 a year
- Remote
- SQL
- Bachelor's degree
- Continuous improvement
- Health insurance
- Dental insurance
2d
Manager, Customer Analytics & Insights, EMD
Jazz Pharmaceuticals —San Diego, CA
- $120,000 - $180,000 a year
- Remote
- SQL
- Bachelor's degree
- Continuous improvement
- Health insurance
- Dental insurance
2d
Associate Client Manager, Commercial Risk - Founder Shield
The Baldwin Group —Remote
- Full-time
- Remote
- Mid-level
- 3 years
- Bachelor's degree
11d

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claims manager jobs near remote

Sr. Manager Healthcare Claims

Personify Health -
Remote

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Job Details

Full-time
$107,000 - $140,000 a year

Benefits

Health insurance
Unlimited paid time off
Dental insurance
Benefits from day one

Qualifications

Optimizing workflow processes
Operational analysis
Performance improvement leadership
Healthcare fraud case support
EDI
Medicare
Quality of care (regulatory compliance area)
Team leadership
5 years
Operations coordination
Healthcare Administration
Coaching
Bachelor's degree in business
HIPAA
Performance feedback (performance evaluation method)
Metrics Reporting
Bachelor's degree in business administration
Medical claims processing software
Team development
Key Performance Indicators
Healthcare administration
Analysis skills
Medical billing discrepancy resolution
Bachelor's degree
Health insurance knowledge
Medicare regulations
Quality compliance management
Health information regulatory compliance
Regulatory readiness in healthcare
Data-driven problem-solving

Full Job Description

Overview:

Who We Are

Because health is personal. That's why Personify Health created the first and only personalized health platform—bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together in one place. We serve employers, health plans, and health systems with data-driven solutions that reduce costs while actually improving health outcomes. Together, our team is on a mission to empower people to lead healthier lives.

Learn even more about the work that drives us at personifyhealth.com.

Responsibilities:

Ready to own the engine that keeps our members protected — and make it run better every day?

Why This Role Matters

Claims operations sit at the center of everything we promise our clients and members. When complex, high-dollar, or high-risk claims move through the system accurately and on time, trust is built — and when they don't, it erodes fast. As Senior Manager of Claims, you're the person who makes sure that doesn't happen. You'll lead a team of claims examiners, drive process improvements, and partner across the organization to eliminate inefficiencies and strengthen compliance. The quality of your work shows up directly in client satisfaction, regulatory standing, and the operational credibility of Personify Health.

Work Location: This position offers flexibility for remote candidates. For candidates residing within commuting distance of our Tempe, AZ location, regular on-site work from the office will be required.

What You'll Actually Do

Lead and develop a claims team: Coach, guide, and hold accountable a team of examiners handling high-risk and complex claims — driving performance, engagement, and results through active feedback and talent development.
Own complex and high-risk claims resolution: Oversee pended, high-dollar, and special-handling cases from start to finish, ensuring timely, accurate adjudication that meets established policies and service standards.
Resolve escalated issues and payment discrepancies: Troubleshoot claim payment problems and partner with internal teams on fraud investigations, escalated inquiries, and other high-stakes situations.
Manage regulatory and legal response: Coordinate responses to audits, legal requests, insurance complaints, Department of Labor matters, and regulatory inquiries — keeping documentation tight and timelines met.
Drive compliance across the operation: Ensure adherence to Medicare, HIPAA, and applicable regulatory standards, conducting ongoing reviews to maintain quality, productivity, and documentation requirements.
Identify and fix operational inefficiencies: Pinpoint workflow gaps, standardize procedures, implement best practices, and partner with leadership to increase auto-adjudication rates and reduce manual intervention.
Collaborate cross-functionally on system and process improvements: Work with IT, legal, compliance, and vendors to support system enhancements, test and implement updates, and optimize EDI processes.
Monitor KPIs and surface actionable insights: Track accuracy, productivity, and turnaround metrics to spot trends, root causes, and improvement opportunities — then translate findings into clear recommendations for leadership.
Support new business and growth initiatives: Contribute to implementations, RFP support, and project teams, providing operational expertise to resolve challenges and ensure successful launches.

Qualifications:

What You Bring to Our Team

Education & Experience:

Bachelor's degree in Business Administration, Health Administration, or a related field preferred
7+ years of experience in claims operations, preferably within a TPA environment
5+ years of leadership or supervisory experience in claims management

Technical Skills:

Deep knowledge of claims processing systems, workflows, and regulatory requirements (Medicare, HIPAA, DOL)
Experience with electronic data interchange (EDI) processes and claims adjudication platforms
Proficiency in KPI analysis, reporting, and process improvement methodologies
Familiarity with audit response processes, compliance documentation, and legal/regulatory coordination

Benefits

The Highlights:

Competitive base salary and benefits effective day one
Comprehensive medical and dental through our own health solutions (yes, we use what we build)
Unlimited PTO—rest and recharge time is non-negotiable
Mental health support, retirement planning, and financial protection
Professional development with clear career progression and learning budgets
Mission-driven culture where diverse perspectives drive real impact on people's health

Want the full picture? Visit personifyhealthbenefits.com to explore our complete benefits package, wellness programs, and other employee perks.

Compensation: This position offers a base salary range of $107,000 - $140,000, depending on location, skills, and experience. You're eligible for our full benefits package starting day one.

Our Commitment: Personify Health is an equal opportunity employer committed to diversity, equity, inclusion, and belonging. We cultivate a work environment where differences are celebrated, and employees of all backgrounds are empowered to thrive—because diversity is core to who we are and critical to our work in health and wellbeing.

Stay Safe: Personify Health will never ask for payment or sensitive personal information like social security numbers during hiring. All official communication comes from verified company email addresses and or our secure applicant tracking system. Suspicious requests? Report them to [email protected]. View all legitimate openings at personifyhealth.com/careers.

Apply Now

Refine Your Search

claims manager jobs in remote

Sr. Manager Healthcare Claims

Claims Manager - Risk Management

Claims Operations, Senior Manager Meritain TPA, Remote

Claims - Care Manager, RN, Claims

Workers Compensation Claims Manager

Casualty Senior Claims Manager — Casualty Specialized Claims

Insurance Claims Manager

Revenue Cycle & Claims Operations Manager

CAT Claims Manager

Claims Supervisor

Sr. Manager, Stop Loss Claims Operations

Senior Manager of Claims - Security & Loss Prev

Claims Training Manager

Regional Field Service Manager

Guidewire Application Development Manager

Manager, Customer Analytics & Insights

Manager, Customer Analytics & Insights

Manager, Customer Analytics & Insights, EMD

Manager, Customer Analytics & Insights, EMD

Associate Client Manager, Commercial Risk - Founder Shield

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